Individual
DR. JARED TODD GRIFFIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-1700
(706) 475-1787
Mailing address
1500 OGLETHORPE AVE, SUITE 600A, ATHENS, GA 30606-2179
(706) 475-4933
(706) 208-8259
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
057469
GA
207RI0011X
Interventional Cardiology Physician
Primary
057469
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00335669
RR MEDICARE
GA
05
—
035374241A
—
GA
05
—
035374241C
—
GA
05
—
035374241D
—
GA
05
—
035374241E
—
GA
05
—
035374241F
—
GA
05
—
035374241G
—
GA
05
—
035374241H
—
GA
05
—
035374241I
—
GA
05
—
035374241J
—
GA
01
—
933586
BLUE SHIELD
GA
01
—
GRP891
GA MEDICARE GRP NUMBER
GA
Enumeration date
06/28/2006
Last updated
01/05/2015
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